801 Exam 1 Epidemiology of Aging Flashcards
aging
multi-faceted developmental process that begins at conception that affects all body systems and processes & influences all human domains
life expectancy in 2016
- male: 76.1
- female: 81.1
what are the most common chronic health conditions?
arthritis and HTN
comorbidity
the co-occurrence of two or more disorders in a single individual
highest causes of mortality of people 65 yrs +
heart disease, cancer, stroke, influenza & pneumonia, Alzheimer’s & diabetes
life course perspective
focuses on a person’s life trajectory and how the trajectory influences all the comes after
cohort effects
effects occurring because of historical events during an individual’s life course
weathering
relationship between early life experiences & health outcomes
negative weathering
those with high stress exposures (poverty & educational disadvantagement) experience differential morbidity and premature mortality
positive weathering
allows individual to develop adaptation strategies that can contribute to functional competence
geriatric syndromes
frailty, dementia, imbalance/falls/immobility, functional decline, urinary incontinence, malnutrition, polypharmacy
do all older adults become frail?
- > 65 yo: 7%
- 65-74: 3%
- 85+: 25%
intrinsic risk factors for falls
cognitive, vision, gait, balance impairment, high risk/contraindicated medications, urge incontinency, recent history of falls
extrinsic risk factors for falls
assistive devices, inappropriate footwear, restraint, use of non sturdy furniture or equipment, poor lighting, uneven or slippery surfaces
contributing factors to falls
orthostatic hypotension, arrhythmia, infections, muscular weakness, altered level of consciousness, sensory disturbances, dehydration, infection, electrolyte imbalances, depression